When it comes to the review of systems, I've been a natural, a savant — a prodigy you might say. During my first few weeks of medical school, I remember doing mock interviews with fake patients. This was long before I learned anything about "HPI," "ROS," physical exams, billing or anything medically relevant for that matter. As other students stuttered, trying to figure out what to ask a lady pretending to ...

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A free moment to read my favorite health care blog is hard to find. The days are packed with complex and time-intensive patients. In between them, I struggle to complete documentation and take care of a myriad of tasks, making phone calls and plodding through cumbersome electronic medical records. Then, there’s still actual paperwork to review and complete. I still have to make time to read clinical literature in addition ...

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30 day hospital re-admission rates. It's a statistic that keeps hospital administrators up at night. Whether you agree or disagree with the use of this statistic as a quality and reimbursement metric, if it creates change, reduces hospital re-admissions and improves patient care, then in theory I support it. I'm reminded of Mrs G. She is emblematic of today's chronic disease patient. She was admitted to our hospital for a congestive heart ...

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There's nothing better than sitting down with a patient, going though an entire visit, and collaborating on a well thought out plan that meets everyone's expectations. Shared decision making is a wonderful and necessary concept in modern patient care. Paternalistic attitudes are fading away in the medical community as the next generations of doctors continue to get educated on how to manage patients who are very knowledgeable and yearn to be ...

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I have the great privilege of being a medical educator. Everyday, I have an incredible time working with  internal medicine residents at their continuity clinic, teaching the art of ambulatory medicine. Our working environment here is academically rich and fulfilling. The name of the legendary Dr. Martin Leibowitz (an iconic figure in ambulatory medicine here) stands outside our conference room as a constant reminder of how medicine is practiced and ...

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